Delucca, Manny

Delucca, Manny is an individual health care provider with primary practice located at 26224 N Tatum Blvd Suite 1, Phoenix AZ 85050-7500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Delucca, Manny can be contacted via phone (480) 563-1111.

Contact Information

Primary practice address
26224 N Tatum Blvd Suite 1 Phoenix AZ 85050-7500
Phone: (480) 563-1111
Fax: (480) 563-3044
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 27388 Arizona

Profile Details

NPI number 1740280882
LBN Legal business name Delucca, Manny
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Mar 28th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740280882 NPPES
Other 12-00497 UNITED HEALTHCARE
Other 210610 UNITED HEALTHCARE
Other 1Z9385 UNITED HEALTHCARE
MEDICAID 484527001 UNITED HEALTHCARE
Other AZ0770330 UNITED HEALTHCARE
Other 1229050 UNITED HEALTHCARE
Other 5225829 UNITED HEALTHCARE

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